Individual
MRS. LAUREN RUTH DAUGHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPH
Contact information
Practice address
85 S MIDDLETON RD STE 150, NAMPA, ID 83651-1526
(208) 505-2860
Mailing address
PO BOX 98, STAR, ID 83669-0098
(580) 650-9004
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
14885
OK
183500000X
Pharmacist
P11244
ID
Other
Enumeration date
04/27/2022
Last updated
03/19/2025
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